Ngati mudzakhala mukulandira mankhwala a chemotherapy kwa nthawi yayitali, kapena ngati muli ovomerezeka kuika magazi kapena opaleshoni ya mongo , wothandizira zaumoyo wanu angakulangize mzere wa pakati, kapena pakati pa catheter (CVC). Ma CVC angathenso kutchedwa zipangizo zowonjezera mavitamini (VADs).
CVC ndi catheters zomwe zimalowetsedwa m'mitsempha ya mkono kapena chifuwa ndipo zimakhala ndi nsonga yomwe ili mumtsinje waukulu pafupi ndi mtima wanu wotchedwa vena cava .
Ma catheter awa amakhala m'malo nthawi yayitali ndipo amalola operekera kuchipatala kuti akupatseni mankhwala ndi mankhwala, ndipo atenge zitsanzo zamagazi popanda kuchititsa mitsempha yanu mobwerezabwereza.
Pali mitundu itatu ikuluikulu ya ma CVC yomwe imagwiritsidwa ntchito kwa odwala khansa ya magazi: mizere yowonongeka, mowirikiza anaika CVCs (mizere ya PICC), ndi maiko omwe amaikidwa.
CVC yotumizidwa
Ma CVC omwe amatha kutchulidwa amawatcha mayina osiyanasiyana. Zitsanzo za ma CVC opangidwa ndi mavitaminiwa ndi Broviac, Hickman, Neostar, Leonard, ndi Groshong.
Kawirikawiri, ma CVC opangidwa ndi zotchinga amaikidwa mu opaleshoni kapena mu chipinda chosalowetsa. Pamene mudzakhala maso pamene mukulowetsa, dokotala wanu angakupatseni mankhwala kuti mukhale osasuka komanso omasuka, komanso mankhwala osokoneza bongo kuti asokoneze malo omwe kathetera imalowa m'thupi.
Dokotala yemwe akuika catheter amapanga zikopa zing'onozing'ono ziwiri pachifuwa chanu. Mmodzi adzakhala masentimita angapo pamwamba pa msana wanu (wotchedwa kutuluka malo), ndipo winayo adzakhala pamwamba, pansi pa collarbone yanu (yotchedwa pakhomo kapena tsamba lolowetsa).
Kenaka, apanga ngalande pansi pa khungu pakati pa ziganizo ziwirizo. CVC imatulutsidwa kuchoka kumalo otuluka kunja kupita ku khomo lolowera ndipo kenaka imalowa mu mitsempha pansi pa collarbone.
Njirayi idzachiritsa pakapita nthawi ndipo idzakwaniritsa zolinga ziwiri. Choyamba, zimakhala zovuta kuti mabakiteriya akwere pamwamba pa chubu ndi m'magazi anu, ndipo chachiwiri, zimathandiza kuti kathetera ikhale m'malo.
Padzakhala kuvala komwe kumagwiritsidwa ntchito pa sitetiyi, ndipo catheter idzafuna kudodometsa kwapadera kuti izikhala bwino. Gulu lanu la thanzi lanu lidzakupatsani maphunziro a momwe mungasamalire CVC yanu yotsekemera mukamapita kwanu.
Mwachidziwitso anaikidwa CVC (PICC Line)
Mipangidwe ya CVC, kapena mizere ya PICC , nthawi zambiri imaganiziridwa kuti ndi malo aakulu kwambiri omwe amatha kupangira. Komabe, ngakhale kuti amaikidwa mu dzanja lanu, ali pakatikati a catheters, ndiko kuti mapeto a catheter ali mu mitsempha yaikulu pafupi ndi mtima wanu.
PICCs nthawi zambiri amaikidwa mu njira yopanda banga ndi namwino wapadera kapena dokotala. Powonjezera, mudzakhala maso ndipo muli maso. Wopereka chithandizo chamankhwala omwe akuika kathete nthawi zambiri amatha kuwononga dera lanu mkati mwa goli lanu, kapena pamwamba pake apo, ndi kupweteka kwa malo komweko. Nthawi zina, iwo amagwiritsa ntchito ultrasound kuti awone mitsempha. Kenaka amalowa mu mitsempha ndi singano yaikulu, yopanda pake ndikusakaniza catheter kudzera mu singano ndi mthunzi.
Pamene catheter ili pamalo, ikhoza kukwapulidwa kapena kutetezedwa kotero kuti imachotsedwa mwangozi. Padzakhala kuvala komwe kumagwiritsidwa ntchito pa webusaitiyi. Ngati mupita kunyumba ndi PICC yanu, wachibale kapena wothandizira adzalandira maphunziro a momwe angasamalire catheter.
Malo Otsogoleredwa
Malo omwe amatchulidwa, otchedwa port-a-caths, amakhala ndi zipangizo zing'onozing'ono zokhala ndi catheter. Chipangizocho chimagwiritsidwa opaleshoni pansi pa khungu, kawirikawiri pamwamba pa chapachifuwa, ndipo catheter imatulutsidwa m'thupi. Pamene chipangizocho chilipo, palibe gawo la CVC lomwe liri kunja kwa thupi; zonse ziri pansi pa khungu.
Ngati nthawi yoti ntchito yamagazi ichitike kapena mankhwala athandizidwa, namwino wanu adzapeza CVC ndi singano yapadera imene imadutsa pakhungu lanu komanso ku doko. Odwala ena amadandaula chifukwa cha ululu wosakaniza pamene singano imalowa.
Pamene doko lopangidwa silinagwiritsidwe ntchito, palibe kuvala koyenera.
Ngati mupita kunyumba ndi doko, mungafunike kubwerera kuchipatala kapena malo opatsirana khansa nthawi zonse kuti CVC iponyedwe ndi kusungidwa.
Phindu
- Njola yochepetsetsa imakhala ikugwiritsidwa ntchito pakamwa
- Magazi akuluakulu a madzi amatha kuperekedwa mofulumira kwambiri
- Mankhwala ena amakwiyitsa kwambiri mitsempha yaing'ono ya thupi lanu kuti angaperekedwe kudzera ku CVC
Kuipa
- CVC iyenera kuyang'aniridwa mosamala kuteteza matenda ndi mavuto
- Kusintha kwa chithunzi cha thupi lanu
- Kuikapo kumaika zoopsa zina zamankhwala, monga ndi njira zonse zopangira opaleshoni
- Kawirikawiri amafuna kusamalira ndi kupezeka kunyumba
Mafunso Ofunsani Wopereka Zaumoyo Wanu
- Ndichifukwa chiyani ndikusowa CVC?
- Kodi mukuyembekeza kuti ndiyenera kukhala ndi nthawi yayitali bwanji?
- Ndi mtundu wanji wosamalira umene ukufuna?
- Kodi ndimapeza kuti zogulitsa?
- Kodi ndondomeko yotani kuyika ndi kusunga chipangizochi ndi chiyani?
- Ndi zotsatira zotani zomwe zikuyembekezeredwa? Ndi zinthu ziti zomwe ndiyenera kuzidera nkhaŵa?
- Kodi ndikulankhulana ndi ndani ngati ndili ndi mafunso kapena nkhawa?
Kodi Muyenera Kusamala Ziti pa CVC Yanu?
Ngati muli ndi zizindikiro kapena zochitika izi, muyenera kupeza chithandizo chamankhwala mwamsanga:
- Kupuma pang'ono mwadzidzidzi
- Kupweteka pachifuwa
- Kuphwanyidwa kapena kuonongeka kwa CVC, kapena CVC yotuluka
- CVC yotayidwa kapena pang'ono
- Fever
- Kufiira, kutupa kapena kutaya pa tsamba lolowa
- Kutupa kwa khosi, mkono kapena nkhope
Mfundo Yofunika Kwambiri
Ma CVC akhoza kupanga mbali zambiri za chithandizo cha khansa ya magazi mosavuta. Iwo apangidwa kuti azigwiritsa ntchito nthawi yayitali ndikupereka operekera chithandizo chamankhwala kukhala ndi mwayi wopita ku mitsempha yambiri yamagazi m'thupi lanu. Ndipotu, mankhwala kapena mankhwala ena amafunika kugwiritsa ntchito CVC.
Ngakhale kuti kukhala ndi CVC m'njira zambiri kungakhale kosavuta, iwonso ndi khomo lochokera kudziko lakunja kulowa m'magazi anu ndipo ali ndi zoopsa zinazake. Kuti muonetsetse kuti catheter yanu ilipo komanso yopezeka kugwiritsidwa ntchito ngati n'kofunika, ndizofunika kupewa matenda komanso kudziwa momwe mungasungire CVD yanu.
Zotsatira:
Goodman, M. Chemotherapy: Mfundo Zowonongeka. Ku Yarbro, C., Frogge, M., Goodman, M., Groenwald, S. eds (2000) Uchikulire wa Khansa: Mfundo ndi Zochita 5th American Cancer Society, Jones ndi Bartlett: Sudbury, MA.
Central Venous Catheters, American Cancer Society, 02/11/2016.